Manifold arrangement



1942- c. H. ANDERSON 2,292,681

MANIFOLD ARRANGEMENT Filed March 29, 1941 the: NA" 5 Shari. Rn: Candi-21in TIM.

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John Dqe Expwes January 1 ,194

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Patented Aug. 11, 1942 UNITED STATES PATENT ,OFFICE MANIFOLD ARRANGEMENT Carl B. Anderson, Chicago, 11]., asslgnor to Lumbcrmens Mutual Casualty 00., Chicago, 111., a corporation of Illinois Application March 29, 1941, Serial No. 385,818

8' Claims. (01. 282-9) This invention is a continuation-in-part of my copending application, Serial No. 320,869, filed February 26, 1940, since matured on May 20, 1941,

in Patent No. 2,242,500, and relates to manifold arrangements or assemblies of sheets of writing paper which are used with sheets of carbon paper for producing a plurality of copies in one operation.

More particularly this invention relates to insurance policies and other forms which are generally filled 'out at'the same time as the policy,

the matter to be writtenon the other forms being in part identical with that written on the policy and in part different therefrom.

In filling out some forms of insurance policies, such as automobile insurance policies, for example, it is necessaryto prepare copies of the information written in on the policy for the home oilice of the insurance company, the branch office of the insurance 'company, andfor the agent. In addition to; the information contained upon the policy itself, the copies mentioned above must also have .otherpinformation, such a the nam of the agent and'bookkeeping information, which is not to appear on the original policy. It is also customary for the policy to be arranged so that it can be folded to a size of approximately 3 /2 by 8 inches with the name and address of the policyholder and the expiration date appearing onthe outside of the folded policy. Since insurance policies are generally folded so that the portionjbearing the insurance policy is on the inside, the name of the policyholder and the other information which is to appear on the outside of the folded policy must be written on that portion of the policy as well as in the appropriate place in the contract portion of the policy.

It has hitherto been the practice to provide blank insurance policies and copies of thepolicies in sets interleaved with sheets'of carbon paper so that the information which is to appear on both the policy itself and on the copies can be written simultaneously upon the policy and the copies. After this information has been written, it has hitherto been necessary to separate the policy from the copies and to then write'up'o'n thecopies the information which is insertions being of sheets interleaved with carbon paper, all of which must be kept straight and in registry.

A principal object of the present invention is to provide an insurance policy and copies of the policy arranged in such a manner as to enable all of the information referred to above to be written upon them with only one insertion of paper into the typewriter.

Another object of th present invention is to provide an arrangement of an insurance policy and copies with sheets of carbon paper inter-- leaved therewith, the policy being capable of being folded in such a manner as to retain the copies and sheets of carbon paper in place in relation to the policy without it being necessary to connect all of them together by adhesive or other similar means.

In accordance with the principal features ofthis-invention, there is provided a blank insurance policy and a plurality of copies of the por- 1 tionof the policy which is to be filled out accordnot to appear on the policy and to write the name and address of the insured and the expira- .tion datje of the insurance upon that portion of a the poli'cywhich is to form the outside of it when itis folded. Since the writing of an insurance policy is:- generally done on a. typewriter, these operations require three separate insertions of .sheets of paper into the typewriter, two of these sheets;

ing to the particular contract being written. The copies are secured together along one edge and interleaved with carbon paper with the policy capable of being so folded as to hold the copies and carbon paper in registry when inserted into a typewriter. In addition the first policy copy is provided with a detachable flapupon which may be written the informationwhich is desired to place upon the copies of the policy but not upon the policy itself. The flap overlaps a portion of the policy where nothing is to be written regarding the particular contract to be embodied in the policy, but the writing on the fiap is transferred to the policy copies.

A perforated line is provided at the fold between the flap and the flrst record sheet for ease in-removing' the flap. When the combined flap and first record sheet are glued to additional rec- 0rd sheets, suflicient glue usually seeps through the perforations at the fold line to glue the double edges of the policy in its position inserted between the flap and the first record sheet. It is to be understood, however, that thi connection of the policy is not necessary.

Other objects and features of the present invention will appear from the following detailed description and the accompanying claims, the description referring to the accompanying drawing, in which:

. Figure 1 is a plan view of one of the preferred forms of the invention, the upper sheets of which are torn awayin order to show the underlying Figure 2 is an end view of the form of invention shown in Figure 1 as seen from the bottom;

Figure 3 is an end view of the form of the invention shown in Figures 1 and 2, as seen from the side; and,

Figure 4 is a view similar to Figure 3, of the form of the invention shown in Figures 1, 2 and 3 as folded before being used. 1

The particular form of the invention shown in the drawing is an automobile insurance policy having three copies, one copy being for the home office of the insurance company, one copy being for the branch oflice, and the thirdcopy being for the agent. The policy is longitudinally folded along its center line to provide the sheets H and I2 of approximately inches in width. These particular dimensions, of course, form no part of the invention itself and are given merely by way of example.

The policy I!) is printed on both sides, the

printed insurance contract being on the inside of the folded sheets II and I2 and on the underside of the sheet I2 (not shown in the drawing) .insurance, in the'form of declarations which are referred to in the insurance contract itself.

As shown in Figure l, the declarations numbered l to 6 onthe policy are all located in the area 13 on the upper side of the policy sheet ll between the center Itand the upper edge 15. The lower half of the upper side of the policy sheet II is divided into three panels 16, I 1 and 18; the central panel 11 bearing the name iii of the insurance company and places 20, 2| and 22' for the name and address of the insured and the expiration date of the policy. The other two panels l6 and I8 may carry information of interest to the policyholder. This arrangement permits the policy 10 to be folded transversely along the center line H and then folded longitudinally along the lines 23 an 24 between the three panels l6, I1 and I8 so hat the declarations in the space l3 are all on the inside of the folded policy, while the name 20, address 2| of the insured, and the expiration date 22 of the insurance are-on the outside. It may be noted that the name 26, address 2|, and the expiration date 22 on the panel I1 which forms the front of the folded policy are written parallel to the writing in the declaration in the space l3 and that this permits the writing in both places to be done with one insertion of the policy into the typewriter.

Directly underneath the upper half of the policy ID are three sheets of paper 25, 26 and 21, the last two of which are one-half of the size of either sheet II or 12 and whose lower portions 28 are printed with forms similar to the form for the declarations in the space i 3 on the policy. Sheets of carbon paper 29 placed directly above each of the record sheets 25, 26 and 21 cause the simultaneous writing on the record sheets of the matter which is written in the declarations in the space l3 of the policy when the policy is being filled out. If desired the record sheets 25, 26 and 21 may be provided with places 36, 3| and 32 for recording information, such as the date of cancellation of the policy or of a renewal of the policy, obtained after the policy is issued. These places 30, 3| and 32 may be located under printed portions of the declarations where there is nothing to be filled out in issuing the policy.

The first record sheet 25 is approximately three inches longer than the record sheets 26 and 21. This additional length is folded over to form a flap 33 (Figures 1, 3 and 4) and if desired may be perforated along the fold line at a position such as indicated at 34.

The upper portions28a of the record sheets 25, 26 and 21 lying under the flap 33 are provided with places 35 and 36 for recording information which is not to appear on the policy itself or which it is desired to record at the top of the record sheets for convenience in filing and bookkeeping and also for recording additional information which is not at hand when the policy is I filled out. The fiap 33 is provided with a printed policy. Thus the writing which is to be placed on the upper portions 28a of the record sheets 25, 26 and 21 can be written on the flap 33 and will be transferred to the record sheets through the carbonsheets 29, but it will not be written on or transferred to the policy sheet Ill, particularly the sheet H thereof.

The record sheet 25 together with its flap 33 and the record sheets 26 and 21 are secured along their upper edges by a layer of adhesive 36 applied to their edges in. the same manner as common pads of writing paper are secured together. Usually, slight amounts of adhesive will seep through the perforations 34 to connect the adjacent upper edges of the sheets H and I! of the policy 16 to the flap 33 and the record sheets 25, 26 and 21. The folded policy I0 is inserted with its upper portion between the flap 33 and the first record sheet 25. carbon paper 29 are inter-leaved with the policy l0 and the record sheets 25, 26 and 21, but terminate short of their upper edges so that they are not secured by the adhesive and can be very readily removed. Before the policy is filled out, thecarbon sheets are retained in place by the lower half of the policy which is folded up in back of the carbon and record sheets, as shown in Figure 4.

It is to be understood, however, that the carbon sheets, because they are not connected to the policy l6 and record sheets 25, 26 and 21, may be interleaved either when the manifold arrangement is originally assembled or by the typist when the policy is to be filled out in a typewriter.

As sheets of carbon paper are usually available to the typist, they need form no part of the assembly for shipping purposes, thereby saving on transportation costs and making the handling thereof much easier.

When the policy is to be written or filled out. the assembly described above is picked up, and the lower half of the policy In is unfolded from the position shown in Figure 4 to the position shown in Figures 1 and 3, and the upper end of the assembly is inserted into a typewriter and brought around into the writing postion. The writing which is to appear only on the record sheets 25, 26 and 21 is then typed on the flap 33,

because there is no carbon paper under the flap 33. The assembly comprising the policy, the

The sheets of ord sheet and overlying said policyabove'said other places and having similarly indicated.

over said other places on record sheets, the flap, and thesheets of carbon paper, is then advanced in the typewriter and the declarations in the area I: below the flap 3: on the upper half of the policy are filled in.

until the policy is in the position for writing in the name, address and expiration date in the panel I! which is to form the outside of the.

folded policy. The writing 20, 2| and 22 on this portion of the policy is not reproduced upon the record sheets 25, 26 and 21 because they and the carbon paper 29 above them do not extend under that portion of the policy. As a matter of fact, when the policy has been advanced to a position for writing in the name, address, and expiration date on the panel H, the adhesively secured record sheets and the loose interleaved carbon sheets may be removed from the folded policy 10. After the lower portion of the policy Ill is filled in, the assembly, or the policy I only if the record sheets have been removed, is then removed from the typewriter, the flap 33 is torn off the first record sheet along the perforated line 34 and is thrown away, having served its purpose. The loose interleaved carbon paper is separated from the record sheets, the latter are then ready to be filed and the policy I0 is ready to be signed and folded for delivery to the insured.

From the foregoing, it will be seen that I have provided an assembly of an insurance-policy and a plurality of record sheets upon which all of the information to be placed thereon, at the time the policy is written, can be typed in with one insertion of the assembly in a typewriter. My invention thus eliminates the need of reinserting the record sheets in the typewriter without the policy and keeping the record sheets and the carbon sheets in registry while doing this. It will therefore be seen that I have materially simplified the mechanical process involved in writing insurance and, because of this, I have also reduced the possibility of mistakes being made in filling out the forms assembled to the p01iCY. T

While I have illustrated and described my invention as embodied in a particular form of insurance policy, it will be obvious that it may be adapted to other forms of insurance policies and even to records relating to matters other than insurance. My invention, therefore, includes not only what I have shown and described and constructions closely similar thereto, but any arrangement which falls within the terms of any of the following claims.

I claim as my invention:

1. A manifold set for simultaneously filling in an insurance policy and a record thereof, comprising a blank policy having places indicated thereon for writing in the details of the particular insurance contract, said places being spaced from one edge of said policy, a record sheet shorter than and extending under said policy from said one edge thereof and having similarly indicated places located directly under the corresponding places on the policy and having other places indicated thereon for writing which is not to appear on said policy, said other places being located between said first places and said edge,

' and a flap being detachably secured to said recplaces located directly said record sheet. 2. A manifold set forsimultaneously filling in an insurance policy and a plurality jof records thereof, comprising a blank policy havingplaces indicated thereon for writing in the details. of the particular insurance contract, said places being spaced from one edge of said policy, a plurality of record sheets in superposed relation under and extending partially along the length of said policy and having similarly indicated places located directly under the corresponding places on the policy and having other places in-- dicated thereon for writing which is not to ,ap-

pear on said, policy, said other .places; being located between said first places and said edge, and a flap being detachably secured to one of said record sheets-and overlying said policy above said other places and having similarly indicated places located directly over said other places on said record sheets, the portion of said policy extending beyond said record sheets being arranged to be folded. to underlie the bottom record sheet and extend in opposed relation to said flap.

3. A manifold set for simultaneously filling in an insurance policy and arecord thereof, comprising a blank policy having. places'indicated thereon for writing in the details of the particular insurance contract, said places being spaced from one edge of said policy, a record sheet lying under said policy and having similarly indicated places located directly under the corresponding places of the policy and having other places indicated thereon for writing which is not to appear on said. policy, said other places being located between said first places and said edge, said blank policy being longer than said record sheet to provide an extension. having places indicated'thereon for writing in additional details thereof, comprising a blank policy having places indicated thereon forwriting in the details of the particular insurance contract, said places being spaced from oneedge of said policy, a plurality of record sheets of shorter length and lying under said policy having similarly indi cated places located directly under the .corresponding places on the policy and having other places indicated thereonfor writing whichis not to appear on said policy, said other places being located between said first places and said edge, a flap overlying said policy above said other 7 places and having similarly indicated places located directly over said other places on said record sheets, means detachably securing said flap and said record sheets along adjacent edges, and sheets of carbon paper lying loosely between said policy and said record sheets, the portion of said policy extending beyond the'record sheets being arranged to be folded around adjacent edges of said record sheets opposite said first adjacent edges to underlap thebottom record sheet and extend in a direction opposite to said flap, said folded extension and said securing means coacting to hold said sheets of carbon paper in their proper positions.

5. A manifold set for simultaneously filling in an insurance policy and a plurality of records thereof, comprising a blank policy longitudinally folded along the center line and having spaces indicated on the outside thereof for writing ln the details of the particular insurance contract,

said places being spaced from one edge of said policy, a plurality of record sheets lying under said policy and having similarly indicated places located directly under the corresponding places on the policy and having other places indicated thereon for writing which is not to appear on said policy, said other places being located befacilitating emoval of lid fiap from said record sheets, said extending portion of said policy being arrang to be folded to underlap the bottom record sheet, and sheets of carbon paper lying between said policy and said recordsheets and retained in place by the coaction of said securing,

' policy and having similarly indicated places tween said first places and said edge, a flap overlying said policy above said other places and having similarly indicated places located directly over said other places on said record sheets,

means detachably securing said flap and said record sheets together along adjacent edges, said flap being provided with perforations for facilitating removal of said flap from said record sheets, and, adjacent edges of said folded policy being connected to and between said flap and record sheets by said means through said perforations. 1

6. A manifold set for simultaneously filling in an insurance policy and a plurality of records thereof, comprising a blank policy folded longitudinally along its center line and having places indicated on the outside thereof for writing in the details of the particular insurance contract, said places being spaced from the upper edge of said policy, a plurality of record sheets lying under and extending to one edge of said policy and having similarly indicated places located directly under the corresponding places on the policy and having other places indicated thereon for writing which is not to appear on said policy, said other places being located between said first places and said edge, a portion of said policy at the end opposite said one edge thereof extending beyond said record sheets, a fiap integral with the first record sheet adjacent said policy and overlying said policy at said one edge thereof and above said other places and having similarly indicated places located directly over said other places on said record sheets, means detachably securing said fiap, record sheets and policy together along edges adjacent said one edge of said policy, said flap and its record sheets being provided with perforations therebetween for cated directly under the corresponding places on the policy and having other places indicated thereon for writing'which is not to appear on said policy, said other places being located between said first places and said upper edges, a

' folded flap integral with the record sheet adjacent said folded policy and overlying said policy above said other places and having similarly indicated places located directly over said other places on said record sheets, a line of perforations on said flap, a layer of adhesive connecting said flap and record sheets together along adjacent edges, said adhesive connecting said policy to said record sheets through the perforations on said flap, and carbon paper lying between said policy and said record sheets, the lower half of said policy being folded up under said record sheets and preventing downward sliding of said carbon sheets.

8. A manifold set for simultaneously filling in an insurance policy and 'a record thereof, comprising a blank policy folded to provide adjacent sheets having places indicated thereon for writing in the details of a particular insurance contract, a plurality of record sheets in-superposed relation under said policy and having similarly indicated places located directly under the corresponding places on the policy. at least one of said record sheets extending partially along the length of said policy, one end portion of said policy extending beyond said one partially extending record sheet and having spaces thereon for writing in details not to appear on said one record sheet, and means at the end of said policy opposite its said extending end for connecting said policy to one of the record sheets and for connecting the plurality of record sheets together.

, CARL H. ANDERSON. 

